Individual
DR. MARGARET E WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1416
(601) 968-1218
Mailing address
970 LAKELAND DR, SUITE 34, JACKSON, MS 39216-4635
(601) 362-0600
(601) 362-1186
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21013
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004535864
—
MS
05
—
04535864
—
MS
01
—
12158580
CAQH
MS
01
—
1821291790
NPI
MS
01
—
XXXXXXX23
RAILROAD MEDICARE
GA
Enumeration date
06/07/2007
Last updated
02/13/2023
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